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General NPI Number Information
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NPI Number | 1568646735
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Entity Type | Organization
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Legal Business Name | DIGNITY COMMUNITY CARE
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 170 ALAMEDA DE LAS PULGAS
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City | REDWOOD CITY
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State | CA
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Zip | 94062-2751
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Country | US
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Telephone | 650-369-5811
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Fax | 650-367-5100
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Provider Business Mailing Address
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Address Line | 3215 PROSPECT PARK DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-6017
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Country | US
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Telephone | 916-861-1102
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Fax | 916-861-7707
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | KIM OSBORNE
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Credential |
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Telephone | 650-367-5837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 220000045
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License Number State | CA
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